MEDICARE: PROXIMITY LEARNING INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083X0100X	Occupational Medicine Physician
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1528919792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROXIMITY LEARNING INC.

Provider Business Mailing Address
First Line	:	1800 E 4TH ST UNIT 131
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-4448
Country	:	US
Telephone Number	:	833-507-0003
Fax Number	:	917-210-2922

Provider Business Practice Location Address
First Line	:	1800 E 4TH ST UNIT 131
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-4448
Country	:	US
Telephone Number	:	833-507-0003
Fax Number	:	917-210-2922

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EVAN ERDBERG
Credential	:
Telephone Number	:	956-633-1511

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “PROXIMITY LEARNING INC. ” Practice Location

Language	Start Address	Practice Location

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